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Solid pseudopapillary neoplasms of the pancreas: an 18-year experience at a single Japanese Institution

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Abstract

Purpose

This study investigated the clinicopathological features and surgical management of solid pseudopapillary neoplasms at a single institution in Japan.

Methods

Seventeen patients (the largest series in Japan) those underwent surgery for pathologically confirmed solid pseudopapillary neoplasms were retrospectively reviewed.

Results

Sixteen patients were women and their mean age was 34.1 years. Most patients were asymptomatic (n = 11), and the average tumor diameter was 51.8 mm. The most common imaging characteristic was tumors of solid and cystic type (n = 10), which were most commonly located in the pancreatic body (n = 7). All patients underwent surgical exploration, i.e., distal pancreatectomies in 7 patients (laparoscopically performed in 2); middle pancreatectomies, 4; pancreaticoduodenectomies, 4; enucleation, 1; and liver resection, 1. No surgical mortalities occurred, and postsurgical complications occurred in 9 patients. Four patients had malignant tumors. One patient with liver metastases experienced recurrence, which was well controlled by paclitaxel. The remaining patients were disease free at a median follow-up of 51 months.

Conclusions

Solid pseudopapillary neoplasms can be treated by complete tumor resection with limited resection or a minimally invasive approach when applicable. The combination of surgical resection and chemotherapy may therefore prolong survival, even in malignant cases.

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Conflict of interest

Takanori Morikawa and other co-authors have no conflict of interest to declare.

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Authors and Affiliations

  1. Division of Hepato-Biliary-Pancreatic Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Takanori Morikawa, Tohru Onogawa, Shimpei Maeda, Tatsuyuki Takadate, Keiichi Shirasaki, Hiroshi Yoshida, Fuyuhiko Motoi, Takeshi Naitoh, Toshiki Rikiyama, Shinichi Egawa & Michiaki Unno

  2. Division of Pathology, Tohoku University Hospital, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Kazuyuki Ishida

  3. Division of Integrated Surgery and Oncology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan

    Yu Katayose

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  1. Takanori Morikawa
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  2. Tohru Onogawa
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  3. Shimpei Maeda
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  13. Michiaki Unno
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Correspondence to Michiaki Unno.

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Morikawa, T., Onogawa, T., Maeda, S. et al. Solid pseudopapillary neoplasms of the pancreas: an 18-year experience at a single Japanese Institution. Surg Today 43, 26–32 (2013). https://doi.org/10.1007/s00595-012-0345-z

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  • DOI: https://doi.org/10.1007/s00595-012-0345-z

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